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  1. US emergency department visits attributed to medication harms, 2017-2019. | PSNet

    psnet.ahrq.gov/issue/us-emergency-department-visits-attributed-medication-harms-2017-2019
    December 15, 2021 - Study US emergency department visits attributed to medication harms, 2017-2019. Citation Text: Budnitz DS, Shehab N, Lovegrove MC, et al. US emergency department visits attributed to medication harms, 2017-2019. JAMA. 2021;326(13):1299. doi:10.1001/jama.2021.13844. Copy Citation Fo…

  2. Interprofessional staff perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods survey. | PSNet

    psnet.ahrq.gov/issue/interprofessional-staff-perspectives-adoption-or-black-box-technology-and-simulations-improve
    May 21, 2009 - Study Interprofessional staff perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods survey. Citation Text: Campbell K, Gardner A, Scott DJ, et al. Interprofessional staff perspectives on the adoption of or black box technology …

  3. Patient, provider, and system factors contributing to patient safety events during medical and surgical hospitalizations for persons with serious mental illness. | PSNet

    psnet.ahrq.gov/issue/patient-provider-and-system-factors-contributing-patient-safety-events-during-medical-and
    November 18, 2016 - Study Patient, provider, and system factors contributing to patient safety events during medical and surgical hospitalizations for persons with serious mental illness. Citation Text: McGinty EE, Thompson DA, Pronovost P, et al. Patient, provider, and system factors contributing to patien…

  4. Risk factors for wrong-patient medication orders in the emergency department. | PSNet

    psnet.ahrq.gov/issue/risk-factors-wrong-patient-medication-orders-emergency-department
    June 08, 2022 - Study Risk factors for wrong-patient medication orders in the emergency department. Citation Text: Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103. Copy Ci…

  5. The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. | PSNet

    psnet.ahrq.gov/issue/use-medical-emergency-teams-medical-and-surgical-patients-impact-patient-nurse-and
    November 09, 2011 - Study The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. Citation Text: Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient,…

  6. Safety huddles to proactively identify and address electronic health record safety. | PSNet

    psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety
    January 23, 2019 - Study Safety huddles to proactively identify and address electronic health record safety. Citation Text: Menon S, Singh H, Giardina TD, et al. Safety huddles to proactively identify and address electronic health record safety. J Am Med Inform Assoc. 2017;24(2):261-267. doi:10.1093/jamia/…

  7. Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. | PSNet

    psnet.ahrq.gov/issue/deficiencies-emergency-department-care-patient-who-died-suicide-john-cochran-division-va-st
    July 26, 2023 - Book/Report Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. Citation Text: Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division…

  8. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. | PSNet

    psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims
    September 12, 2018 - Study Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. Citation Text: Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts…

  9. Patient safety strategies targeted at diagnostic errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-strategies-targeted-diagnostic-errors-systematic-review
    March 20, 2013 - Review Patient safety strategies targeted at diagnostic errors: a systematic review. Citation Text: McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7…

  10. The Economic Measurement of Medical Errors. | PSNet

    psnet.ahrq.gov/issue/economic-measurement-medical-errors
    March 23, 2022 - Book/Report The Economic Measurement of Medical Errors. Citation Text: The Economic Measurement of Medical Errors. Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. Copy Citation Save Save t…

  11. Cost of health care-associated infections in the United States. | PSNet

    psnet.ahrq.gov/issue/cost-health-care-associated-infections-united-states
    November 02, 2022 - Study Cost of health care-associated infections in the United States. Citation Text: Forrester JD, Maggio PM, Tennakoon L. Cost of health care-associated infections in the United States. J Patient Saf. 2022;18(2):e477-e479. doi:10.1097/pts.0000000000000845. Copy Citation Format: …

  12. Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. | PSNet

    psnet.ahrq.gov/issue/identifying-hot-spots-harm-and-blind-spots-across-care-pathway-patient-complaints-about
    May 04, 2022 - Study Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. Citation Text: O’Dowd E, Lydon S, Lambe KA, et al. Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general pra…

  13. A human right-based approach to dealing with adverse events in residential care facilities. | PSNet

    psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
    May 27, 2011 - Study A human right-based approach to dealing with adverse events in residential care facilities. Citation Text: McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128. Copy Citatio…

  14. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. | PSNet

    psnet.ahrq.gov/issue/impact-team-performance-surgical-safety-checklist-patient-outcomes-operating-room-black-box
    March 20, 2024 - Study Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. Citation Text: Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box …

  15. Hospital board checklist to improve culture and reduce central line–associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/hospital-board-checklist-improve-culture-and-reduce-central-line-associated-bloodstream
    May 24, 2012 - Commentary Hospital board checklist to improve culture and reduce central line–associated bloodstream infections. Citation Text: Goeschel CA, Holzmueller CG, Pronovost P. Hospital Board Checklist to improve culture and reduce central line-associated bloodstream infections. Jt Comm J Qual…

  16. Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation. | PSNet

    psnet.ahrq.gov/issue/medication-details-documented-hospital-discharge-cross-sectional-observational-study-factors
    April 24, 2018 - Study Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation. Citation Text: Grimes TC, Duggan CA, Delaney TP, et al. Medication details documented on hospital discharge: cross-sectional observat…

  17. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? | PSNet

    psnet.ahrq.gov/issue/variation-17-obstetric-care-pathways-potential-danger-health-professionals-and-patient-safety
    September 21, 2016 - Study Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? Citation Text: Sarrechia M, Van Gerven E, Hermans L, et al. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? J Adv Nurs. 20…

  18. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. | PSNet

    psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
    September 15, 2021 - Study Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Citation Text: Harris CK, Chen Y, Yarsky B, et al. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Acad Pathol. 2022…

  19. Educational targets to reduce medication errors by general surgery residents. | PSNet

    psnet.ahrq.gov/issue/educational-targets-reduce-medication-errors-general-surgery-residents
    October 19, 2022 - Study Educational targets to reduce medication errors by general surgery residents. Citation Text: Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009. C…

  20. Process of care failures in breast cancer diagnosis. | PSNet

    psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
    January 06, 2017 - Study Process of care failures in breast cancer diagnosis. Citation Text: Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0. Copy Citation Format: DOI Googl…
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